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Individual
DR. WHITNEY C EDWARDS
Active
Individual
DR. WHITNEY C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G835980
CA
208000000X
Pediatrics Physician
Primary
G835980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330831376 92103 B001
TRICARE
CA
01
—
GR0045532
MEDI-CAL
CA
01
—
ZZZ02551Z
BLUE SHIELD
CA
Enumeration date
02/22/2007
Last updated
01/31/2012
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